Can You Lose Hair During Pregnancy?

Changes in hair during pregnancy are a common concern for many expectant individuals. While often associated with the postpartum period, hair thinning can sometimes occur during pregnancy itself. Understanding the underlying reasons and how to support hair health can help manage expectations.

Hair Growth Cycle During Pregnancy

Hair growth follows a cyclical pattern with three distinct phases: anagen (growth), catagen (transitional), and telogen (resting). The majority of hair is in the active anagen phase, which can last for several years. A short catagen phase occurs before the telogen phase, a resting period where hair remains in the follicle but does not grow. After the telogen phase, the hair sheds, and the cycle begins anew.

During pregnancy, increased estrogen levels influence this cycle. Elevated estrogen prolongs the anagen phase, keeping more hair follicles in active growth longer. This often leads to thicker, fuller hair, as fewer hairs enter the resting and shedding phases. Hair loss during pregnancy is less common than the significant shedding experienced after delivery, known as postpartum telogen effluvium, which is triggered by the sharp drop in hormones post-birth.

Other Factors Affecting Hair

While hormonal changes typically lead to thicker hair, other factors can contribute to thinning or loss. Nutritional deficiencies are a common cause, as the body’s demands for nutrients increase. Iron deficiency, leading to anemia, is common and can result in hair thinning, along with symptoms like fatigue. Deficiencies in zinc, biotin, and protein can also impact hair health.

Significant physical or emotional stress can also prompt hair shedding. This condition, called telogen effluvium, occurs when more hair follicles prematurely enter the resting phase, leading to increased shedding months later. Underlying medical conditions during pregnancy can also affect hair. Thyroid imbalances, such as hypothyroidism (underactive thyroid), are known to cause hair loss. Gestational diabetes can damage blood vessels supplying hair follicles, potentially leading to thinning.

Caring for Hair During Pregnancy

Gentle hair care practices support hair health throughout pregnancy. Avoid harsh chemical treatments like perms or chemical straightening. Opt for loose hairstyles instead of tight braids or ponytails to prevent pulling on hair follicles. Using wide-toothed combs for detangling and minimizing heat styling also helps reduce breakage.

Maintaining a balanced, nutrient-rich diet is crucial for hair growth. Consuming adequate protein, vitamins, and minerals provides the building blocks for healthy hair. Prenatal vitamins, designed to supplement nutritional needs, can help ensure sufficient intake of essential vitamins and minerals, though they are not a direct treatment for hair loss unless a specific deficiency is identified. Managing stress through relaxation techniques or adequate rest can also positively influence hair health. Staying well-hydrated contributes to overall body health, including the scalp.

When to Seek Medical Advice

While many hair changes during pregnancy are temporary, consult a healthcare professional in certain situations. If hair loss is significant, appears in patches, or seems excessive, it warrants medical attention. A doctor can determine if it relates to underlying medical conditions or deficiencies.

Seek medical advice if hair loss is accompanied by other concerning symptoms. These include extreme fatigue, unexplained weight changes, skin changes, or mood disturbances. Such symptoms might indicate an underlying condition like a thyroid disorder or iron deficiency, which a healthcare provider can diagnose. Addressing these issues can often resolve hair thinning.